title: Brief report: real-time ultrasound-guided spinal anesthesia using Taylor's approach.
abstract: The role of ultrasound scanning in spinal anesthesia is principally limited to preprocedure imaging and identification of anatomical structures. We describe our experience with a real-time ultrasound technique for visualization and performance of spinal anesthesia. An initial cadaver study was performed in 5 unembalmed cadavers to develop a technique for real-time performance of ultrasound-guided spinal anesthesia via Taylor's approach (paramedian approach to the L5-S1 interspace). Subsequently, 10 patients scheduled for joint arthroplasty underwent real-time ultrasound-guided spinal anesthesia in the prone position. The relevant anatomy and the needletip were visualized easily and all spinals were effective for joint arthroplasty.
authors.affiliation: FCARCSI, Department of Anesthesia, Vancouver Acute, Room 2449, JP 2, VGH, 899 West 12th Avenue, Vancouver, BC V5Z 1M9, Canada. peterjohnlee@hotmail.com
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Lee
authors.forename: Raymond
authors.initials: R
authors.lastname: Tang
authors.forename: Andrew
authors.initials: A
authors.lastname: Sawka
authors.forename: Claudia
authors.initials: C
authors.lastname: Krebs
authors.forename: Himat
authors.initials: H
authors.lastname: Vaghadia
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000775:Anesthesia, Spinal / Q000379:methods*; D001178:Arthroplasty; D001955:British Columbia; D002102:Cadaver; D005260:Female; D006801:Humans; D007278:Injections, Spinal; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D056888:Patient Positioning; D016684:Prone Position; D012447:Sacrum / Q000000981:diagnostic imaging*; D013997:Time Factors; D018084:Ultrasonography, Interventional